NPI | 1770639593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA RN499143) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA RN499143) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA RN499143) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2023-05-04 |