| NPI | 1861968794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ APRN218353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 218353) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2019-08-14 |