| NPI | 1417516964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020649) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 404303) |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2022-04-13 |