| NPI | 1487020467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95040595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95058062) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2026-09-21 |