| NPI | 1790333003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP227728) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 59225) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-12-09 |