| NPI | 1396548863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95036301) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61067127) |
| 163W00000X Registered Nurse (Licence: CA 95286933) | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2026-05-01 |