| NPI | 1942483250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 16065) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 16065) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2026-02-18 |