| NPI | 1457851826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10961) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: AZ AP10961) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2024-07-08 |