| NPI | 1538427109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20307) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F304136) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NY F340574) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2016-05-24 |