| NPI | 1952846834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95058951) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95038867) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2026-03-23 |