| NPI | 1134843188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95409780) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1095395) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95034356) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2025-09-08 |