| NPI | 1740564103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60709612) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN545457) |
| 363L00000X Nurse Practitioner (Licence: CA NP21352) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA NP21352) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2018-03-17 |