| NPI | 1891063301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 606430) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 336952) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2013-11-24 |