| NPI | 1285981399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN047495) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4276) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2025-04-22 |