| NPI | 1992239024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 254411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 388104) |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2021-06-14 |