| NPI | 1265841233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 240237) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN142358) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2023-09-28 |