| NPI | 1669493771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8753) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 16419A) |
| 363L00000X Nurse Practitioner (Licence: ID NP-760A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60470853) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-11-01 |