| NPI | 1356808265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 220085) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0101247) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4561) | |
| 163W00000X Registered Nurse (Licence: AZ RN177699) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10019878) | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2024-06-25 |