| NPI | 1144742925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11017) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN156197) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2018-08-15 |