| NPI | 1548836687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31999) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95056313) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95017984) | |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2025-01-10 |