| NPI | 1356130678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95037441) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 681943) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-11-19 |