| NPI | 1861152654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 269367) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT NUR-APRN-LIC-189535) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2023-06-23 |