| NPI | 1205470598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 264385) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: AZ 208577) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2022-01-01 |