| NPI | 1710609128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ 282586) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 175970) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2023-04-20 |