| NPI | 1912373234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7992) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP60623614) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2023-08-14 |