| NPI | 1851451694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN101345) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-11-08 |