| NPI | 1275369191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA F08240768) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95148856) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-12-18 |