| NPI | 1790181816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 9501509) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95029013) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2025-02-26 |