| 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 | 2015-12-04 |