| NPI | 1235889205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 279596) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN167130) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2023-11-29 |