| NPI | 1114561990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95013122) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013122) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-08 |