| NPI | 1063696425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 247215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R28493) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 247215) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: ND R28492) | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2022-04-12 |