| NPI | 1114697067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 263479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN137264) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2023-07-26 |