| NPI | 1679608301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 14346) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 14346) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 484403) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2024-03-29 |