| NPI | 1255977492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 264757) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN214222) |
| 163W00000X Registered Nurse (Licence: AL 1-161951) | |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2024-02-05 |