| NPI | 1992509913 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95034548)  | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95225850)  | 
| Enumeration Date | 2025-04-01 | 
| Last Update Date | 2025-04-01 |