| NPI | 1992249353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95005827) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201609121NP-PP) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9382141) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 33 341191) | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2019-03-14 |