| NPI | 1891294914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP263392) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA F01181392) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ 262292) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA 677424) | |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2024-12-05 |