| NPI | 1336116433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN138704AP2390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN297329NP5983) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN155396NP07758) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2021-12-09 |