| NPI | 1619597572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95014457) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA RN650473) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95218467) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA AG07190234) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-05-19 |