| NPI | 1366875841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001215) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: HI 48260) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 619602) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2016-08-01 |