| NPI | 1487126736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 224196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 277794-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95011149) | |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2024-11-13 |