| NPI | 1467730945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95004549) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 630519-1) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305978) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2023-05-02 |