| NPI | 1225884273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 313729) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN205309) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 313729) | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-09-05 |