| NPI | 1861959223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 69699) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012549) |
| 163W00000X Registered Nurse (Licence: CA 770383) | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2026-05-14 |