| NPI | 1295167229 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95018783)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 844515)  | 
| Enumeration Date | 2013-08-01 | 
| Last Update Date | 2025-03-14 |