| NPI | 1821177759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7940) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP7940) |
| 363L00000X Nurse Practitioner (Licence: CA 95015476) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9182958) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-03-16 |