| NPI | 1700476280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 252586) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95036627) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 72527) | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2026-03-31 |