| NPI | 1003351735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 846884) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2025-02-04 |