| NPI | 1831670181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN216301) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11769) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2023-11-09 |