| NPI | 1992376149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 291479) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017674) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2023-08-30 |