| NPI | 1780817759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3808) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95035920) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2026-04-07 |