| NPI | 1326658642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009218) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 864715) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996547-NP) | |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2024-01-22 |