| NPI | 1790170538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004356) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 688691-1) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95086287) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95004356) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2019-08-01 |