| NPI | 1730992348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022072) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95033745) |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-07-23 |