| NPI | 1992356109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013320) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 842047) |
| 363L00000X Nurse Practitioner (Licence: CA 95013320) | |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2026-03-16 |