| NPI | 1447742788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 844966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11279) |
| Enumeration Date | 2018-06-02 |
| Last Update Date | 2022-10-28 |