| NPI | 1538708102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 268265) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 069879-23) |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2022-03-07 |