| NPI | 1336248822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP6145) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CA PHN44257) |
| 163W00000X Registered Nurse (Licence: CA RN431927) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-10-02 |