| NPI | 1487119160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 225151) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: AZ 158388) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2021-04-28 |