| NPI | 1003975012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP11351) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: AZ RN113047) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-02-21 |