| NPI | 1356827216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11503) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002689) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2023-02-28 |