| NPI | 1184146243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 801746) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2025-03-05 |