| NPI | 1215436233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP11124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 11124) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2022-06-01 |