| NPI | 1851199160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95035819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 767219) |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-07-02 |