| NPI | 1679354542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95027504) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95078402) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-12-24 |