| NPI | 1306160262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 13689) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 783) |
| 163W00000X Registered Nurse (Licence: TN RN0000146220) | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2025-10-14 |