| NPI | 1154332872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01648) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN057048) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM RN-71422) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-11-09 |