| NPI | 1598011785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP4571) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ F0612491) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2021-10-20 |