| NPI | 1619486180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95039499) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 2345230) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95039499) | |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2026-08-13 |