| NPI | 1619622479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020055) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95255280) |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2024-01-09 |