| NPI | 1861943391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95011414) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 21882) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2019-10-16 |