| NPI | 1912957291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005879) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA RN468715) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 468715) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2025-09-12 |