| NPI | 1689395766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 293603) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 791412) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95024168) | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2024-08-05 |