| NPI | 1811617046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023947) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 736860) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-02-14 |