NPI | 1992317309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95021810) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN186496) |
Enumeration Date | 2020-08-18 |
Last Update Date | 2025-04-10 |