| NPI | 1376301275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95035252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1685358) |
| 163W00000X Registered Nurse (Licence: CA 95292032) | |
| 363L00000X Nurse Practitioner (Licence: CO 1000855) | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2025-08-29 |