| NPI | 1942144035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95040614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95392662) |
| 163W00000X Registered Nurse (Licence: MA RN2389545) | |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-07-28 |