| NPI | 1730066457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020516) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA RN425674) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |