| NPI | 1346811155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 259832) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP259832) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2023-04-05 |