| NPI | 1033751086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ F10190324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 233613) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2022-10-27 |