| NPI | 1467282848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 284864) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95022941) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-11-15 |