| NPI | 1669209482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 314184) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 314184) |
| 363L00000X Nurse Practitioner (Licence: AZ 314184) | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-10-03 |