| NPI | 1801032768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3253) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN12185) |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2024-05-15 |