| NPI | 1164427167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1164) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ RN073559) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2022-07-20 |