| NPI | 1225532930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5016556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008769) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95008769) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95008769) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5016556) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95008769) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-06-20 |