| NPI | 1962978973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 229805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011123) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2021-09-27 |