| NPI | 1841452935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95003556) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 577983) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F335463) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2016-01-28 |