| NPI | 1497181705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP5166) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2023-04-04 |