| NPI | 1578815023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4689) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001637) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2023-11-29 |