| NPI | 1871981076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 229438) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA APRN95007165) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2022-04-08 |