| NPI | 1013501048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017354) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95086022) |
| Enumeration Date | 2021-02-20 |
| Last Update Date | 2023-02-13 |