| NPI | 1336702414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 224899) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F04190389) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2020-10-06 |