| NPI | 1023448735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP5224) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2014-06-02 |