| NPI | 1407286156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 0921272) |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2019-02-28 |