| NPI | 1295006401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023606) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 8078429-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-000982) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0991222-NP) | |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2023-01-25 |