| NPI | 1720551732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 240917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F10181025) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2020-05-05 |