| NPI | 1215719349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95026983) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 569898) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 95257836) | |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2025-12-18 |