| NPI | 1518361898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 178871) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 756547) |
| 363L00000X Nurse Practitioner (Licence: CA 95001578) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95001578) | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2022-02-15 |