| NPI | 1659765212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95007981) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687133) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY F307594) | |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2021-10-04 |