| NPI | 1780987818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11439) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95011251) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA NP60908265) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 813759) | |
| Enumeration Date | 2010-12-11 |
| Last Update Date | 2021-05-03 |