| NPI | 1528436813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 281954) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN181525) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2022-10-15 |