| NPI | 1619599156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 248859) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ AZ135234) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2022-06-08 |