| NPI | 1598258014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ CNP230211) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ RN181727) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2024-04-24 |