| NPI | 1942172812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95037792) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95098082) |
| Enumeration Date | 2025-09-20 |
| Last Update Date | 2025-12-03 |