| NPI | 1699453886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95025553) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95025553) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95025553) | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |