| NPI | 1215551213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ F06200038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN183982) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2024-01-16 |