| NPI | 1184080012 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002101) | 
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 4267) | 
| Enumeration Date | 2016-01-07 | 
| Last Update Date | 2025-10-20 |