| NPI | 1467924704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 220076) |
| Additional Taxonomies | 163WP1700X Registered Nurse, Perinatal (Licence: AZ 177134) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 220076) | |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2024-06-12 |