| NPI | 1578080578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5017099) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP11334) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AZ AP11334) | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-07-01 |