| NPI | 1215596531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 296958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 206214) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-09-19 |