| NPI | 1114675493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ APRN273901) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ RN085354) |
| 207Q00000X Family Medicine (Licence: AZ TEMP273901) | |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-07-15 |