| NPI | 1912731076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 8871250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95281611) |
| 363L00000X Nurse Practitioner (Licence: CA 95032408) | |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2025-06-12 |