| NPI | 1043330657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 11391) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 11391) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-06-26 |