| NPI | 1356054761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 285362) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN193049) |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2023-12-20 |