| NPI | 1619482718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95008134) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 95008134) |
| 363L00000X Nurse Practitioner (Licence: CA 95008134) | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2018-08-28 |