| NPI | 1144489998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95005235) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304853) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95005235) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2022-04-12 |