| NPI | 1801369251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: CA 95010713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95010713) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2023-03-14 |