| NPI | 1356769459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5632) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN125187) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2019-12-17 |