| NPI | 1912855941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 11115) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 468197) |
| Enumeration Date | 2026-03-17 |
| Last Update Date | 2026-03-17 |