| NPI | 1134374218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 564866) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2024-09-22 |