| NPI | 1437523438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60910962) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 20654) | |
| Enumeration Date | 2015-11-14 |
| Last Update Date | 2023-03-03 |