| NPI | 1588162770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011964) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ rn180957) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11243) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5011585) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-01-18 |