| NPI | 1053071613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 301086) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: AZ 208030) |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2024-05-20 |