| NPI | 1508280710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95042257) |
| 163W00000X Registered Nurse (Licence: NY 672574) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 339454) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2022-12-07 |