| NPI | 1669250338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95026968) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95026968) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2025-07-10 |