| NPI | 1124905500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 727017) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 23417) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3119) | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |