| NPI | 1922342013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4776) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN095727) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-03-27 |