| NPI | 1730579434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010217) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7615) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2023-05-24 |