| NPI | 1033927892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 249423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 885747) |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2024-12-30 |