| NPI | 1487717674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 093000348N1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP10486) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2026-07-21 |