| NPI | 1144400771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 17444) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 567717) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2025-02-11 |