| NPI | 1851967939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95016561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95047748) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2023-10-27 |