| NPI | 1700202579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95148023) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 671826-1) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307202) | |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2019-02-17 |