| NPI | 1083945406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 19841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 768635) |
| 163W00000X Registered Nurse (Licence: NY 589882) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 336156) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2020-09-16 |