| NPI | 1457707853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 17791) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004229) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2025-07-29 |