| NPI | 1699132597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AZ AP8393) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8393) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2021-10-06 |