| NPI | 1871620864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NPF12732) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CA RN395222) |
| 163WE0003X Registered Nurse Emergency (Licence: CA RN395222) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |