| NPI | 1992296768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ AP11679) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health (Licence: AZ AP11679) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ AP11679) | |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2023-12-14 |