| NPI | 1104291442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 312087) |
| 363L00000X Nurse Practitioner (Licence: CO APN.1000103-NP) | |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2025-03-14 |