| NPI | 1821155185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA CA13108) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2019-06-05 |