| NPI | 1063938710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95006978) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 743018) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2020-09-16 |