| NPI | 1023425055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 257793) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2266015) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2024-05-14 |