| NPI | 1003555673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95925776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95222327) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-09-20 |