| NPI | 1790880300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NPC #8930) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 307291) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2025-08-12 |