| NPI | 1235609454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 247916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 110002200) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2023-07-11 |