| NPI | 1558184150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 316508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 10877386-4405) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-12-31 |