| NPI | 1851924427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95013972) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11006187) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2024-02-06 |