| NPI | 1417639246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 299387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0998755) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-02-27 |