| NPI | 1972392975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95035317) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95209486) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-09-10 |