| NPI | 1679108393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95037959) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 79295) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2026-02-17 |