| NPI | 1942755863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN182397) |
| 163W00000X Registered Nurse (Licence: LA RN097869) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9660) | |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2022-08-09 |