| NPI | 1679505275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN083158) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-03-05 |