| NPI | 1184263162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 255718) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 255718) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1055944) | |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2023-05-23 |