| NPI | 1295384030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R191788) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CA 821811) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95013009) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2025-08-20 |