| NPI | 1417433350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11545) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001278201) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP11545) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2021-10-17 |