| NPI | 1134888530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95019418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95233635) |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2022-06-24 |