| NPI | 1699255653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 95023030) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9355810) |
| 363L00000X Nurse Practitioner (Licence: CA 95023030) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2025-12-01 |