| NPI | 1386985547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 643258) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F338630) | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2022-10-13 |