| NPI | 1801362611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95010766) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22285) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 22285) | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2019-01-03 |