| NPI | 1700025285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 826254) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 450481) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 18684) | |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2025-08-07 |