| NPI | 1225439391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76537) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 113746) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2020-12-15 |