| NPI | 1841171014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95038102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95032112) |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2026-04-08 |