| NPI | 1841762903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95030009) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2023-01-20 |