| NPI | 1669124814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 297292) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020011332) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2024-03-01 |