| NPI | 1124659685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10009898) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95016622) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95016622) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: CA 671631) | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2025-11-19 |