| NPI | 1245794098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN616737) |
| 163W00000X Registered Nurse (Licence: DE L1-0051173) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR19548100) | |
| 363L00000X Nurse Practitioner (Licence: PA SP019957) | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2020-07-08 |