| NPI | 1407557416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 4726253) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026987) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2025-08-18 |