| NPI | 1124584784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 312462) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 272397) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2024-11-18 |