| NPI | 1861114688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95022450) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432361-01) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |