| NPI | 1154871754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008721) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R222732) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2018-07-24 |