| NPI | 1588074876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ ap11636) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ RN169298) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2019-08-05 |