| NPI | 1336121094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0835) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN083247) |
| 163W00000X Registered Nurse (Licence: CA RN95148897) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95008920) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95008920) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-03-20 |