| NPI | 1427406719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8551) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2022-08-19 |