| NPI | 1073943825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5336) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN128794) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2024-02-01 |