| NPI | 1043776867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 223619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN179435) |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2024-01-30 |