| NPI | 1639682057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60468129) |
| 163W00000X Registered Nurse (Licence: NY 722652) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2019-03-21 |