| NPI | 1114409059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019148) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95174722) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2025-01-08 |