| NPI | 1285827956 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F1208135)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850139NP)  | 
| Enumeration Date | 2007-08-24 | 
| Last Update Date | 2025-07-01 |