| NPI | 1447863378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 283032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10329-33) |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2022-10-24 |