| NPI | 1164768412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20455) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 662159) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2025-11-03 |