| NPI | 1225396773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 255705) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 59165) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2022-10-27 |