| NPI | 1396264636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 256196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017143899) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2021-10-30 |