| NPI | 1376221390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95034502) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 845654) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-07-17 |