| NPI | 1508314402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 343824) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95004921) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: CA 95004921) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2019-08-19 |