| NPI | 1457719304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95003458) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP60961397) |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2022-05-23 |