| NPI | 1144637067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 672485-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 339452) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-03-17 |