| NPI | 1255913133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 256053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 833365) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2023-11-13 |