| NPI | 1033757422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 247250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 247250) |
| 163W00000X Registered Nurse (Licence: NY 577782-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F344393-1) | |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2022-10-03 |