| NPI | 1770243206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 272152) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN149181) |
| Enumeration Date | 2021-12-24 |
| Last Update Date | 2022-03-09 |