| NPI | 1487226452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF95019156) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 722857) |
| Enumeration Date | 2021-07-10 |
| Last Update Date | 2021-12-06 |