| NPI | 1205458205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 240091) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 240091) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2024-02-15 |