| NPI | 1962960906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95011315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95176159) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60937038) | |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.024197) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95011315) | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2021-01-29 |