| NPI | 1902421886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95037864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95170235) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2026-01-06 |