| NPI | 1245857499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95012956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95074536) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2022-04-07 |