| NPI | 1427720796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP272620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN186035) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2022-06-28 |