| NPI | 1700341831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 221696) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN126238) |
| Enumeration Date | 2019-02-03 |
| Last Update Date | 2024-09-15 |