| NPI | 1225799018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 270116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN153089) |
| 207Q00000X Family Medicine (Licence: AZ 270116) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2023-01-05 |