| NPI | 1174317275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95035828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 791144) |
| Enumeration Date | 2025-04-05 |
| Last Update Date | 2025-08-10 |