| NPI | 1518373505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95000915) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 708339) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95000915) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2022-07-13 |