| NPI | 1750556916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4332) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY F334858) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2014-03-18 |