| NPI | 1518950195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1374) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 13051) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2025-02-10 |