| NPI | 1851823090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN150201) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-07-07 |