| NPI | 1114483401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 241362) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN140943) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2024-04-04 |