| NPI | 1205435740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 249884) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ rn177163) |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2022-04-05 |