| NPI | 1053887455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95009579) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95009579) |
| 163W00000X Registered Nurse (Licence: CA 95068012) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95009579) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2025-10-09 |