| NPI | 1457748147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP7755) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AZ AP2025) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |