| NPI | 1932590346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95002014) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002014) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704246599) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 857806) | |
| Enumeration Date | 2015-02-08 |
| Last Update Date | 2022-08-05 |