| NPI | 1609205350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5299) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN122732) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2020-02-03 |