| NPI | 1720439730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95032261) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA 60626173) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2025-01-13 |