| NPI | 1619578465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 275511) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014381) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2023-06-06 |