| NPI | 1437812179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 266617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F09210893) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2022-02-11 |