| NPI | 1518202944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95004457) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN219976) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2018-01-16 |