| NPI | 1235681370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: AZ AP10370) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN113725) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2024-04-08 |