| NPI | 1861068496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 816211) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-07-29 |