| NPI | 1144870924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95014979) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 706169) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95014979) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2025-11-05 |