| NPI | 1013674738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ TEMP269108) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: AZ RN151176) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2022-02-08 |