| NPI | 1154098010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 309785) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: AZ RN197408) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-09-12 |