| NPI | 1508356411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 229381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019989) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 7020819-4405) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2025-02-13 |