| NPI | 1528748043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 297024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN195997) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-08-30 |