| NPI | 1659516011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 251456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN214425) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2022-09-02 |