| NPI | 1336816594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95176848) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95031050) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2024-07-12 |