| NPI | 1245390376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP1131) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AZAP1131) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-04-25 |