| NPI | 1174741342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP17278) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 561887) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F335141) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-05-29 |