| NPI | 1124744396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 291628) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: AZ RN210369) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-05-24 |