| NPI | 1255898417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014732) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TELE305081) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4383-0) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 77103) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 13698666-4405) | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2024-03-18 |