| NPI | 1932575883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10265) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI F0815105) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2024-04-29 |