| NPI | 1659848455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 255379) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013024109) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 8789-33) | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2021-06-25 |