| NPI | 1083988489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11239) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN F0212354) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2021-12-01 |