| NPI | 1598276446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95007715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95124915) |
| 163W00000X Registered Nurse (Licence: CT 101125) | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |