| NPI | 1982095493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 1507) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2022-07-21 |