| NPI | 1922793694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019847) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: CA 95072003) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95072003) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2025-08-05 |