| NPI | 1700329687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005348) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 305045) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1156051) | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2024-04-30 |