| NPI | 1508529504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 270749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN215995) |
| Enumeration Date | 2021-10-16 |
| Last Update Date | 2022-02-28 |