| NPI | 1629342787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ AP4382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP4382) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2022-03-17 |