| NPI | 1457753204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10478) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ RN 151213) |
| 363L00000X Nurse Practitioner (Licence: AZ AP10478) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-02-23 |