| NPI | 1508280868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95008049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 174942-30) |
| 363L00000X Nurse Practitioner (Licence: WI 5776-33) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2023-10-07 |