| NPI | 1548900921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 272836) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ TEMP272836) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2023-05-17 |