| NPI | 1154595304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95006438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 590837) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2019-10-28 |