| NPI | 1912430398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MT NUR-APRN-LIC-160964) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 799138) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004959) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-10-16 |