| NPI | 1700219706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 06) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5477) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2022-07-25 |