| NPI | 1184026031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3132) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2024-02-08 |