| NPI | 1235746405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 253658) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN177917) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-04-27 |