| NPI | 1699808691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NPF13463) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN601100) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY RN500413-1) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NPF13463) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-01-11 |