| NPI | 1689885485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 1039) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 592272) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2307349) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201708984NP-PP) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-06-27 |