| NPI | 1265869598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN061491) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2017-03-16 |