| NPI | 1376139121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 257966) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: AZ RN213490) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2022-10-03 |