| NPI | 1952625881 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 22550)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 535288)  | 
| Enumeration Date | 2010-03-22 | 
| Last Update Date | 2025-05-22 |