| NPI | 1609034222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 12429) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 12429) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 12429) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2025-12-30 |