| NPI | 1154856227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007442) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95007442) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2024-11-15 |