| NPI | 1225574833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005396) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA 95005396) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-30 |