| NPI | 1992243711 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005079) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95005079) | 
| Enumeration Date | 2017-02-01 | 
| Last Update Date | 2025-04-24 |