| NPI | 1740880913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 259608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 165526) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2023-03-21 |