| NPI | 1699108621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN088868) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2023-07-27 |