| NPI | 1285940965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP967A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA GAA-NP003088) |
| 363L00000X Nurse Practitioner (Licence: CA 95416455) | |
| 363L00000X Nurse Practitioner (Licence: AZ AP3610) | |
| 363L00000X Nurse Practitioner (Licence: TX 1194699) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2025-10-15 |