| NPI | 1568447324 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN450469)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP12969)  | 
| Enumeration Date | 2005-12-14 | 
| Last Update Date | 2025-09-11 |