| NPI | 1962644096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007852) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R107936) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 308126) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 067550-23) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R107936) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2022-07-21 |