| NPI | 1528409976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001880) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338515) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704342551) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN1100629) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2020-03-12 |