| NPI | 1417415183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP246860) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN138316) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2025-02-21 |