| NPI | 1699109645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171138) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2022-07-21 |