| NPI | 1750722161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95006587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 847353) |
| 163W00000X Registered Nurse (Licence: NY 661053) | |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2020-01-28 |