| NPI | 1679056451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009779) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA NP95009779) |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2024-10-15 |