| NPI | 1952005498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024321) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 195200498) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2025-05-20 |