| NPI | 1417562844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 245003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F07201751) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-04-11 |