| NPI | 1215233507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN076793) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2022-08-31 |