| NPI | 1144832635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 305740) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN200017) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2025-07-29 |