| NPI | 1457667016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3846) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AP3846) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2021-02-15 |