| NPI | 1356026512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA NP95023434) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95023434) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2025-05-14 |