| NPI | 1417472747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ AP10331) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP10331) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-07-21 |