| NPI | 1912399098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7880) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN120788) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2024-05-08 |