| NPI | 1326654674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 243397) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 243397) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 243397) | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2021-10-25 |