| NPI | 1982016994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030977) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 755698) |
| Enumeration Date | 2014-05-25 |
| Last Update Date | 2024-07-16 |