| NPI | 1548765811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP11126) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 112952-23) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-11-05 |