| NPI | 1407385768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95035034) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN265375) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2025-05-23 |