| NPI | 1184308199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95025632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95182569) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-14 |