| NPI | 1144376179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 383630) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 12253) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-07-14 |