| NPI | 1548914591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95019981) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95265764) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-08-28 |