| NPI | 1225251135 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 526716) | 
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 526716) | 
| Enumeration Date | 2007-04-10 | 
| Last Update Date | 2025-09-11 |