| NPI | 1205579141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95019140) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95019140) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95019140) | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-07-01 |