| NPI | 1851753255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN173398) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2019-12-18 |