| NPI | 1114551603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 239740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 239740) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-03-28 |