| NPI | 1790056380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95023802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023802) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK R0089445) | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2023-07-17 |