| NPI | 1861908782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 312218) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 10886) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2024-08-23 |