| NPI | 1386613941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 508290) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71017051A) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2026-10-16 |