| NPI | 1558651869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4413) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 794019) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN128702) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 21505) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2022-03-31 |