| NPI | 1881832558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004880) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335778) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9295215) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2018-07-13 |