| NPI | 1356904502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033665) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 25754) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5021288) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83666-092) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2025-01-23 |