| NPI | 1881104925 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007326) | 
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 791051) | 
| Enumeration Date | 2017-10-03 | 
| Last Update Date | 2025-03-17 |