| NPI | 1124805270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 297520) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ RNP297520) |
| 207Q00000X Family Medicine (Licence: CA NP95027983) | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-09-13 |