| NPI | 1962570770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 234659) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL RN1253402) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2021-06-09 |