| NPI | 1578429130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95272259) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F01260129) |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2026-01-19 |