| NPI | 1144769027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95006152) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95047647) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2022-08-29 |