| NPI | 1194291351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95150323) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2022-11-05 |