| NPI | 1407139371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11014840) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN116155) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4449) | |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2025-06-08 |