| NPI | 1831705524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 2467665) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ F09200264) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-10-27 |