| NPI | 1134651276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 296931) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A005111) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-05-07 |