| NPI | 1578815809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201610216NP-PP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ TAP4690) |
| 208D00000X General Practice (Licence: OR 201610216NP-PP) | |
| 208D00000X General Practice (Licence: AZ TAP4690) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ TAP4690) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2024-02-08 |