| NPI | 1710781125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95026357) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CA 802685) |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |