| NPI | 1265150957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 280163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN199920) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2023-04-20 |