| NPI | 1821863481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95036203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95253338) |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2025-07-22 |