| NPI | 1760017529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95012374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 782758-01) |
| 163W00000X Registered Nurse (Licence: OR 585880) | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |