| NPI | 1740773449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11352) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP11352) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2019-07-26 |