| NPI | 1447375365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 433432) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 433432) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 433432) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 433432) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 433432) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-08-27 |