| NPI | 1033515655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP7403) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN160419) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2022-10-26 |