| NPI | 1184077505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 707260) |
| 163W00000X Registered Nurse (Licence: MI 4704320425) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704320425) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F341513) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2022-01-04 |