| NPI | 1063067353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: CA 95012029) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95012029) | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2024-01-19 |