| NPI | 1063036598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 238745) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ 238745) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2021-04-23 |