| NPI | 1609438951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011865) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 790369) |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2019-08-12 |