| NPI | 1073334959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95038680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95042920) |
| 163WG0000X Registered Nurse, General Practice (Licence: CA 95042920) | |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2026-03-07 |