| NPI | 1336863778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 281661) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN000099599) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2023-04-10 |