| NPI | 1609268382 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 748514) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 748514) | 
| Enumeration Date | 2015-03-04 | 
| Last Update Date | 2025-10-29 |