| NPI | 1881172260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 222713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN171837) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2019-11-19 |