| NPI | 1558891010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95032413) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5010884) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2025-04-10 |