| NPI | 1609359165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 816281) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95009368) |
| 208D00000X General Practice (Licence: CA 95009368) | |
| 208D00000X General Practice (Licence: NV 816281) | |
| 363L00000X Nurse Practitioner (Licence: CA NP95009368) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP215783) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2022-04-28 |