| NPI | 1033428198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 287380) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050158NP) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2024-02-08 |