| NPI | 1043804743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RNP2623646) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN156754) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-12-20 |