| NPI | 1477707016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ RN097766) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8288) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2019-02-06 |