| NPI | 1467079822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 247148) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ F06202942) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-09-17 |