| NPI | 1083185235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 60167) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95010116) |
| 163W00000X Registered Nurse (Licence: CA 807738) | |
| 363L00000X Nurse Practitioner (Licence: CA 95010116) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2026-09-16 |