| NPI | 1174655104 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP11949)  | 
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA RN 546695)  | 
| Enumeration Date | 2007-03-13 | 
| Last Update Date | 2025-09-11 |