| NPI | 1235620170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP11222) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AP11222) |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2022-03-08 |