| NPI | 1336693324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 287406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95070496) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95012408) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 287406) | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2024-02-14 |