| NPI | 1053929075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 840034) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95014858) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN.24081) | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2023-07-17 |