| NPI | 1376298539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95029737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 60087) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95029737) | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2024-10-29 |