| NPI | 1275072829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95008963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22717503) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95008963) | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2024-10-02 |