| NPI | 1851709323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN199189) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2022-11-08 |