| NPI | 1033660659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 738745) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95005082) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2023-01-12 |