| NPI | 1376046680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OR 202214369NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95008661) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2023-11-29 |