| NPI | 1508175506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 7545) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 20124) |
| 363L00000X Nurse Practitioner (Licence: AZ RN188815) | |
| 363L00000X Nurse Practitioner (Licence: CA 684773) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP20124) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7545) | |
| Enumeration Date | 2010-09-25 |
| Last Update Date | 2020-09-03 |