| NPI | 1902525207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95039823) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95267125) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2026-06-22 |