| NPI | 1720274863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2868) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AP2868) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2020-10-27 |