| NPI | 1962086819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017690) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 767063) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-11-23 |