| NPI | 1053078287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 279940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 30705) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2024-07-31 |