| NPI | 1992486153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95026178) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA 95026178) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95026178) | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-05-21 |