| NPI | 1689167132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP11346) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2024-02-20 |