| NPI | 1255755997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5411) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN144375) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2019-10-25 |