| NPI | 1568647543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 17391) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA RN596903) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2020-10-05 |