| NPI | 1982094934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7677) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN164990) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-05-29 |