| NPI | 1235700543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016577) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 851900) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2025-09-12 |