| NPI | 1073684270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 384314) |
| 363A00000X Physician Assistant (Licence: CA 17697) | |
| 363AM0700X Physician Assistant, Medical (Licence: CA 17697) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 15250) | |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2021-01-28 |