| NPI | 1093140907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-160936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5188) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2021-12-14 |