| NPI | 1396300786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 225910) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN133413) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2022-10-20 |