| NPI | 1396180519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 290493) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22955) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2024-02-01 |