| NPI | 1346975463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 280876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN103683) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-09-20 |