| NPI | 1619383502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95002862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95045427) |
| 163W00000X Registered Nurse (Licence: NY 657426-1) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2016-08-22 |