| NPI | 1184595985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95037393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95047134) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2026-02-01 |