| NPI | 1073261905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5021750) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 084495-23) |
| 163W00000X Registered Nurse (Licence: NH 084495-21) | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2025-11-17 |