| NPI | 1609315522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95014076) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R226564) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001232064) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95213651) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024173830) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD R226564) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2021-03-12 |