| NPI | 1639413297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 767996) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2026-07-09 |