| NPI | 1043260896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95036904) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 860640) |
| 133N00000X Nutritionist (Licence: CA 860640) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2025-11-30 |