| NPI | 1497159495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95002511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95062474) |
| 363LF0000X Nurse Practitioner Family (Licence: DE LG-0000766) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: DE LG0000766) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2018-07-19 |