| NPI | 1952654550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 290613) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201407547NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 131489) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201407547NP-PP) | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2023-06-16 |