| NPI | 1629762471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95026329) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: CA 95206108) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-07-31 |