| NPI | 1881229482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95216987) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95034478) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2026-05-28 |