| NPI | 1972023315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10244) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AP10148) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2018-08-26 |