| NPI | 1396262390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11229) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN150675) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-07-13 |