| NPI | 1316559438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015856) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 769432) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-09-26 |