| NPI | 1457820334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 291905) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 59613) |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2023-07-21 |