| NPI | 1316665094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 279616) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN190141) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-24 |