| NPI | 1588642490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0290) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA W358829) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ RN-071191) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2022-03-01 |