| NPI | 1770251936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 300927) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 228142) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2023-12-13 |