| NPI | 1750764940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687104) |
| 163W00000X Registered Nurse (Licence: CA 95064407) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-04-19 |