| NPI | 1679191712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF95024549) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA NPF95024549) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA NPF95024549) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NPF95024549) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NPF95024549) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2026-07-23 |