| NPI | 1609322817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004574) |
| Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: CA 4377) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95004574) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2020-02-03 |