| NPI | 1154772135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95255346) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95030920) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2025-03-20 |