| NPI | 1992336119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 238854) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 178842) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2022-05-06 |