| NPI | 1639510332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95000588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 849450) |
| 363L00000X Nurse Practitioner (Licence: CA 849450) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95000588) | |
| 163W00000X Registered Nurse (Licence: NY 658958) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2019-06-10 |