| NPI | 1073658340 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF 4137) | 
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 152842) | 
| Enumeration Date | 2007-02-21 | 
| Last Update Date | 2025-09-11 |