| NPI | 1922642784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95011808) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95011808) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2025-06-26 |