| NPI | 1831069533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 2026021498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95371135) |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2026-07-09 |