| NPI | 1619695608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030628) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432349-01) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-08-23 |