| NPI | 1366050254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015209) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 706459) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-08-24 |