| NPI | 1265122584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ APRN305992) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F05230008) |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2024-07-23 |