| NPI | 1881288272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95066900) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CA 2020037426) | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |