| NPI | 1124694708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95024775) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95318798) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2025-05-06 |