| NPI | 1639721293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 257364) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: UT 94188383102) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 9418838-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 9418838-8900) | |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2023-03-21 |