| NPI | 1568912418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN141587) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2023-09-07 |