| NPI | 1366288060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 242365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F06241303) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-10-03 |