| NPI | 1316583396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017467) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95188959) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-05-15 |