| NPI | 1417631573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 228427) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ F06230521) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-08-23 |