| NPI | 1497250195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10930) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP10930) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-06-19 |