| NPI | 1558745331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 285718) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111848) |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2023-08-22 |