| NPI | 1255985024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 230182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP230182) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-12-05 |