| NPI | 1508640772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95025528) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: CA 95025528) |
| 163WX1500X Registered Nurse Ostomy Care (Licence: CA 95025528) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95025528) | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |