| NPI | 1932864824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95023718) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL F10210880) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2023-08-02 |