| NPI | 1023883527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95036062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95133074) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2025-08-22 |