| NPI | 1114267887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4870) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 99436) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2020-02-17 |