| NPI | 1770086456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP11317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP11317) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2024-07-31 |