| NPI | 1821731506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP95020703) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NPF95020703) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CA NP95020703) | |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: CA NPF95020703) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA NP95020703) | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |