| NPI | 1114312006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP7581) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ TAP7581) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-03-28 |