| NPI | 1912891995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95038278) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95352770) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2026-01-16 |