| NPI | 1639981624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95033996) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95406552) |
| Enumeration Date | 2025-01-25 |
| Last Update Date | 2025-04-15 |