| NPI | 1790702447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14672) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3269532) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61025125) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2026-08-06 |