| NPI | 1407334733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 275653) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 275653) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95009610) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-10-30 |