| NPI | 1235652942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ AP10708) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10708) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2020-02-07 |