| NPI | 1184312696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 291592) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F04230252) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-06-26 |