| NPI | 1750850830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 218193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN162691) |
| Enumeration Date | 2018-11-18 |
| Last Update Date | 2022-06-29 |