| NPI | 1558503581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3329) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 59614) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2021-12-07 |