| NPI | 1912232539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 19012) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 19012) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2025-12-31 |