| NPI | 1467249995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95020893) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95020893) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95020893) | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-07-10 |