| NPI | 1770344061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 289399) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 353010) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |