| NPI | 1295445112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 288317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 174530) |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2023-02-24 |