| NPI | 1346992856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 250966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN162753) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2023-08-18 |