| NPI | 1225458425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP5568) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ RN120817) | |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2023-01-23 |