| NPI | 1265031496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 223113) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ 223113) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2023-05-03 |