| NPI | 1598138042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9281) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95003384) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 9281) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003384) | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2021-02-01 |