| NPI | 1518471689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10807) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AP10807) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2024-11-19 |