| NPI | 1861228520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95334285) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95038238) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2026-05-26 |