| NPI | 1144743071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201704120NP-PP) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2018-12-12 |