| NPI | 1457860074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016725) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001219626) |
| 363L00000X Nurse Practitioner (Licence: MD AC002184) | |
| 163W00000X Registered Nurse (Licence: DC RN1017188) | |
| 363L00000X Nurse Practitioner (Licence: VA 00024175615) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2021-11-23 |