| NPI | 1225379282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004093) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 572215) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2018-11-05 |