| NPI | 1225477417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: AZ AP5033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5033) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2022-03-15 |