| NPI | 1619500089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 238308) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ F01201240) |
| 363L00000X Nurse Practitioner (Licence: AZ 238308) | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2022-08-24 |