| NPI | 1093501769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024322) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 826324) |
| 363L00000X Nurse Practitioner (Licence: CA 95024322) | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |