| NPI | 1356964522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 243263) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F05200509) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2024-10-08 |