| NPI | 1760837850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 163851) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95004205) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95004205) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-09-27 |