| NPI | 1093094187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20983) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 659389) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2025-03-11 |