| NPI | 1649611922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020801) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22658649) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 338517) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC 1041971) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-07-26 |