| NPI | 1164066460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013891) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 2019046574) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2023-09-19 |