| NPI | 1750785531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001098) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 565595) |
| 163W00000X Registered Nurse (Licence: CA 95030088) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F338254) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2015-11-22 |