| NPI | 1124724760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 297528) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 297528) |
| 363L00000X Nurse Practitioner (Licence: NM 71397) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 71397) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-10-11 |