| NPI | 1639539513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP7697) |
| Additional Taxonomies | 208800000X Urology (Licence: AZ AP7697) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11664) | |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2021-10-05 |