| NPI | 1902299100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004202) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95004202) |
| 163W00000X Registered Nurse (Licence: NY 658424) | |
| 163W00000X Registered Nurse (Licence: CA 851304) | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2025-12-30 |