| NPI | 1578016572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95027743) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 662178) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2025-06-29 |