| NPI | 1902586886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 295423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ RNP295423) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-01-08 |