| NPI | 1871389403 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95092968)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95034667)  | 
| Enumeration Date | 2025-04-18 | 
| Last Update Date | 2025-04-18 |