| NPI | 1588196612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 259350) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN800297) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2025-02-17 |