| NPI | 1447772850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030090) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78113-012) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2017023493) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2024-08-22 |