| NPI | 1760092902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95035370) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 215009) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2025-09-08 |