| NPI | 1811307861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95000592) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95000592) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95000592) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2023-07-30 |