| NPI | 1285229534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 254316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 138064) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-11-14 |