| NPI | 1972452423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95038103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95211755) |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-01-27 |