| NPI | 1184650673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 259120) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 259120) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-01-07 |