| NPI | 1629417431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60385059) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60385059) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP5080) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2023-03-07 |