| NPI | 1831103159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP2439) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP2439) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ TAP2439) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2024-03-26 |