| NPI | 1922426543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000449) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 2013016473) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-11-13 |