| NPI | 1114409620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 002732) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10394) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2023-07-28 |