| NPI | 1407225733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 144449) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2023-04-06 |