| NPI | 1093281057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95037256) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024176756) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2026-01-09 |