| NPI | 1558838896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 223210) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 115092) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2022-02-25 |