| NPI | 1427450386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001169) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA 95001169) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA NP95001169) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2015-10-07 |