| NPI | 1558875435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201908209NP-PP) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2022-10-06 |