| NPI | 1700594660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 223130) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 223130) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-16 |