| NPI | 1821352410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4504) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN000099605) |
| 207Q00000X Family Medicine (Licence: AZ AP4504) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ F0412113) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2022-08-15 |