| NPI | 1972740090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP20111) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 669725) |
| 163W00000X Registered Nurse (Licence: CA 669725) | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2025-12-01 |