| NPI | 1578164158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 251892) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F10201469) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2022-07-20 |