| NPI | 1689266033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019878) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95118851) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2025-11-03 |