| NPI | 1396492930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 271520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11795-33) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2024-07-15 |