| NPI | 1598291445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018592) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95006775) |
| 163W00000X Registered Nurse (Licence: CA RN95113994) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-01-16 |