| NPI | 1356830574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11616) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN129434) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2023-10-11 |