| NPI | 1043059769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95029674) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95029674) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95029674) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95029674) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95029674) | |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-06-21 |