| NPI | 1609180736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335477-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95045148) |
| 363L00000X Nurse Practitioner (Licence: CA NP95001540) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 542346-1) | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2017-03-29 |