| NPI | 1922550367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 2016013447) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2024-04-17 |