| 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 |