| NPI | 1760639652 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 18288)  | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 18288)  | 
| Enumeration Date | 2008-08-21 | 
| Last Update Date | 2025-10-29 |