| NPI | 1316335888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002416) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 313162) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209012375) | |
| 363L00000X Nurse Practitioner (Licence: NV APRN002416) | |
| 363L00000X Nurse Practitioner (Licence: CA 95031789) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2024-09-09 |