| NPI | 1649013301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95027786) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 776895) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-08-29 |