| NPI | 1043730278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ID NP-58321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 58321) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10038) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-05-15 |