| NPI | 1245599471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4279) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 10049376) |
| 207Q00000X Family Medicine (Licence: MT 267467) | |
| 207Q00000X Family Medicine (Licence: AK 243760) | |
| 207Q00000X Family Medicine (Licence: MN 13335) | |
| 207Q00000X Family Medicine (Licence: CA 95036918) | |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: HI aprn-5427) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2025-10-12 |