| NPI | 1053764704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60683737) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002086) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95014049) | |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2024-02-12 |