| NPI | 1922455971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 685008) |
| 363L00000X Nurse Practitioner (Licence: CA 95004000) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2025-03-17 |