| NPI | 1467008292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 233735) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN148213) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2023-05-05 |