| NPI | 1558798371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 219630) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007649) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2024-01-31 |