| NPI | 1114562964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95035550) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95088570) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2025-07-17 |