| NPI | 1154722031 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001721)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 742711)  | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95001721)  | |
| Enumeration Date | 2014-09-10 | 
| Last Update Date | 2023-03-28 |