| NPI | 1144672585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 703523) |
| 163W00000X Registered Nurse (Licence: HI 82176) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2018-03-17 |