| NPI | 1497163489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 266780) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN168783) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ 266780) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2023-04-11 |