| NPI | 1811593106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95016132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95233803) |
| 163W00000X Registered Nurse (Licence: IN 28190895A) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2021-03-03 |