| NPI | 1700663838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 305273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 873941) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 217242) | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-04-03 |