| NPI | 1982125464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R138811) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-08-08 |