| NPI | 1497193205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95003656) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI 1609) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R183963) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2016-05-04 |