| NPI | 1871927301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95214025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 102503) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 005540) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201406741NP-PP) | |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2025-10-01 |