| NPI | 1649214032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1892) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: AZ NP 1892, RN 126306) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-07-21 |