| NPI | 1801597356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95034164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95333355) |
| 163W00000X Registered Nurse (Licence: AL 1-185295) | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2025-06-02 |