| NPI | 1982216594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 288970) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-5024) |
| 363L00000X Nurse Practitioner (Licence: CO C-RXN.0102706-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: TX 1195484) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2025-05-06 |