| NPI | 1932709656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 254263) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN200143) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2022-08-08 |