| NPI | 1598001661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95007897) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: MA RN2271159) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2018-11-06 |