| NPI | 1477435337 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95036082) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95346133) | 
| Enumeration Date | 2025-07-22 | 
| Last Update Date | 2025-07-22 |