| NPI | 1306288410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95206987) |
| 163W00000X Registered Nurse (Licence: NY 22 644205) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 338679) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2020-01-25 |