| NPI | 1326791005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 270989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 832998) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2024-07-10 |