| NPI | 1891233896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9922) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN153242) |
| 363L00000X Nurse Practitioner (Licence: AZ AP9922) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-01-05 |