| NPI | 1871212928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 219778) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95260559) |
| 163W00000X Registered Nurse (Licence: MA RN2353354) | |
| 163W00000X Registered Nurse (Licence: WA RN60856061) | |
| 163W00000X Registered Nurse (Licence: AZ 219778) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2025-02-02 |