| NPI | 1841639812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN126277) |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2022-07-13 |