| NPI | 1184072225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN139039) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2017-02-08 |