| NPI | 1598023913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4460) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ ap4460) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2025-03-05 |