| NPI | 1689232977 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95011870)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95011870)  | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209018148)  | |
| Enumeration Date | 2019-05-31 | 
| Last Update Date | 2024-11-06 |