| NPI | 1477346575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95035754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 752914) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-07-16 |