| NPI | 1740038769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95035066) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95164604) |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2025-08-19 |