| NPI | 1801296272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21416) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CA 715047) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CA 21416) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA 21416) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 21416) | |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: CA 21416) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |