| NPI | 1154146876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033490) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 794834) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2025-03-20 |