| NPI | 1326589466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9907) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN171018) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2022-12-22 |