| NPI | 1669677092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP18087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR12596800) |
| 163W00000X Registered Nurse (Licence: CA RN708363) | |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2010-12-28 |