| NPI | 1023403896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340270) |
| 163W00000X Registered Nurse (Licence: NY 672400-1) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95008946) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-12-30 |