| NPI | 1942225156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15943) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APN000879) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: HI 1744) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 15943) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-05-02 |