| NPI | 1841446556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP9819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13567) |
| 363L00000X Nurse Practitioner (Licence: CA 95006066) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2024-08-12 |