| NPI | 1609264886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95003722) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95026562) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2022-09-06 |