| NPI | 1245077023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 310324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 245990) |
| 163W00000X Registered Nurse (Licence: CA 95370170) | |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-08-13 |