| NPI | 1801244074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP9826) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN173850) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9826) | |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2024-05-20 |