| NPI | 1477066132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 656953) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95007489) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95007489) | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-08-29 |