| NPI | 1881044147 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8759) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60911805) | 
| 363LF0000X Nurse Practitioner, Family (Licence: AZ ap60911805) | |
| Enumeration Date | 2016-06-17 | 
| Last Update Date | 2024-05-16 |