| NPI | 1720668262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95018551) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 245358) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 202114853NP-PP) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2022-10-06 |