| NPI | 1871248963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 301112) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 301112) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 65208) | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2024-03-15 |