| NPI | 1457513863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95054724) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023248) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2025-03-07 |