| NPI | 1740605260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18399) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2024-05-03 |