| NPI | 1124469085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5092) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012577) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5019313) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2025-05-30 |