| NPI | 1063863785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7042981) |
| 163W00000X Registered Nurse (Licence: CA 95164126) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 341481) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-11-22 |