| NPI | 1639914294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95203758) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-12-30 |