| NPI | 1235800319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 270531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN183023) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2022-04-07 |