| NPI | 1164720546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95006185) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014819) |
| 163W00000X Registered Nurse (Licence: AK 31784) | |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2022-07-21 |