| NPI | 1417312315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95006534) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202010137NP-PP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307579) | |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2023-03-15 |