| NPI | 1083363980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 193895) |
| 163W00000X Registered Nurse (Licence: CA 95281041) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 31318) | |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2026-07-09 |