| NPI | 1790239259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 10471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 305674) |
| 364S00000X Clinical Nurse Specialist (Licence: HI 1726) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2025-08-12 |